JP5384268B2 - 外科用ステープラ用ロックアウト構造 - Google Patents
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Description
〔i.技術分野〕
本発明は、ステープリング器具に関し、様々な実施形態においては、ステープルの1つ以上の列を作り出すための外科用ステープリング器具に関する。
近年、外科医が、肺、食道、胃、十二指腸、および/または腸管における他の臓器など体組織を縫合するためにステープリング器具を使用する傾向が高まってきている。適切なステープリング器具の使用により、多くの場合、より短い時間でより良い仕事をすることができ、また、胃腸管吻合など以前は困難であった外科処置を単純化することができる。以前の、直線状の列が2つおよび4つの切断ステープラは、カートリッジのない器具が含まれ、その中にステープルが個々に手で装填されるものであった。他の以前の装置は、組織を分断しステープル列を形成することを同時に行なうために利用されることができた、前殺菌された使い捨てステープル装填ユニット、および切断部材を含んでいた。このような外科用ステープラの例は、1970年3月10日に発行された名称「INSTRUMENT FOR PLACING LATERAL GASTROINTESTINAL ANASTOMOSES」の米国特許第3,499,591号に開示されている。これにより、この特許の開示内容全体が参照によって本明細書に組み込まれたものとする。
本発明の少なくとも1つの形態では、外科用ステープリング器具は、互いに旋回可能に接続され、かつラッチにより互いに対して適所に固定されることができる、第1および第2顎部材を含むことができる。様々な実施形態では、第1および第2顎部材は、第1および第2顎部材が互いに対して回転させられることができるが、第1および第2顎部材が互いから引き離されることを防ぐか、あるいは少なくとも抑制することができる、第1および第2ロック部材を含むことができる。そのような実施形態は、ラッチが部分的に閉鎖された位置にある状況、ならびに、第1および第2顎部材がそれら間に組織を位置付けるように操作されている状況で、特に有用でありうる。少なくとも1つのそのような実施形態では、第1および第2顎部材が互いから分離させられて切断部材を露出する可能性を防ぐか、あるいは少なくともその可能性を減ずるために、第1および第2顎部材は、共に十分に接続されることができる。本発明の少なくとも1つの形態では、外科用ステープリング器具は、切断部材上および/または切断部材周りに少なくとも部分的に延びることができるハウジングを含むことができる。様々な実施形態では、ハウジングは、第1および第2顎部材が互いから分離された場合に切断部材を少なくとも部分的に覆い、そのうえ、使用の間、切断部材が第1および第2顎部材に対して動かされることを可能にすることができる。
ここで、ある例示的実施形態が、本明細書に開示される装置および方法の構造、機能、製造および使用の原理の全般的な理解を提供するために記載される。これら実施形態の1つ以上の例は、添付の図面において図示されている。当業者であれば、特に本明細書に特に記載され添付の図面に図示されている装置および方法は、非限定的な例示的実施形態であり、本発明の様々な実施形態の範囲は、特許請求の範囲によってのみ定められることを理解するであろう。一例示的実施形態に関連して図示され、あるいは説明された特徴は、他の実施形態の特徴と組み合わされてもよい。そのような修正および変形は、本発明の範囲内に含まれると意図される。
SURGICAL STAPLING INSTRUMENT WITH CUTTING MEMBER ARRANGEMENT、代理人整理番号END6414USNP/080203、発明者:Chester BaxterおよびJames Bedi;
SURGICAL STAPLER HAVING AN INTERMEDIATE CLOSING POSITION、代理人整理番号END6411USNP/080200、発明者:Chester BaxterおよびJames Bedi;ならびに、
SURGICAL STAPLER WITH APPARATUS FOR ADJUSTING STAPLE HEIGHT、代理人整理番号END6406USNP/080195、発明者:Chester BaxterおよびJames Bedi、として識別可能であった。これにより、これら特許出願の開示内容全体が参照によって本明細書に組み込まれたものとする。
〔実施の態様〕
(1) 外科用ステープラにおいて、
ステープルカートリッジを受容するように構成されたステープルカートリッジチャネルを含む、第1ハンドル部分と、
アンビルを含む、第2ハンドル部分と、
第1駆動スロットと、
第2駆動スロットであって、前記第1および第2駆動スロットの少なくとも一方は、所定通路を定める、第2駆動スロットと、
駆動部材と、
前記駆動部材と作用可能に係合されたアクチュエータであって、前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、前記アクチュエータは、前記駆動部材を前記所定通路に沿って動かすように構成されている、アクチュエータと、
前記アクチュエータと選択的に係合可能なアクチュエータロックと、
前記第1ハンドル部分および前記第2ハンドル部分の一方に回転可能に連結されたラッチであって、前記ラッチは、開放位置と閉鎖された位置との間で可動であり、前記ラッチは、前記第1ハンドル部分および前記第2ハンドル部分の他方に係合するよう、かつ前記アンビルを前記ステープルカートリッジチャネルに対する適所へ動かすように、構成されており、前記ラッチは、前記ラッチが前記閉鎖された位置へ動かされると、前記アクチュエータロックに係合して前記アクチュエータロックを前記アクチュエータから係合解除するように構成されている、ラッチと、
を含む、外科用ステープラ。
(2) 実施態様1に記載の外科用ステープラにおいて、
前記アクチュエータは、前記第1駆動スロットと前記第2駆動スロットとを接続する中間駆動スロット内に位置付け可能である、外科用ステープラ。
(3) 実施態様2に記載の外科用ステープラにおいて、
前記アクチュエータロックは、前記ラッチが前記開放位置にある場合、前記中間駆動スロット内に前記アクチュエータを保持するように構成されている、外科用ステープラ。
(4) 実施態様2に記載の外科用ステープラにおいて、
前記アクチュエータは、前記アクチュエータが前記中間駆動スロット内部に位置付けられているとき、前記第1駆動スロットおよび前記第2駆動スロットの一方へ選択可能に回転させられるように構成されており、
前記アクチュエータロックは、前記アクチュエータロックが前記アクチュエータと係合させられているとき、前記アクチュエータが前記第1駆動スロットおよび前記第2駆動スロットのいずれかへ回転することを防ぐように構成されている、外科用ステープラ。
(5) 実施態様1に記載の外科用ステープラにおいて、
アクチュエータロックは、前記ラッチが前記開放位置にあるとき、前記第1駆動スロットと前記第2駆動スロットとの中間の適所に前記アクチュエータを保持するように構成されている、外科用ステープラ。
(6) 実施態様1に記載の外科用ステープラにおいて、
前記アクチュエータロックを前記アクチュエータと係合させるように付勢するよう構成されたロックバネ、
をさらに含む、外科用ステープラ。
(7) 実施態様1に記載の外科用ステープラにおいて、
前記駆動部材は、切断部材およびステープルスレッドの少なくとも一方を含む、外科用ステープラ。
(8) 外科用ステープラにおいて、
第1ハンドル部分であって、
近位端、
遠位端、および、
ステープルカートリッジを受容するように構成されたステープルカートリッジチャネル、
を含む、第1ハンドル部分と、
第2ハンドル部分であって、
近位端、
遠位端、および、
アンビル、
を含む、第2ハンドル部分と、
駆動部材と、
前記駆動部材と作用可能に係合可能なアクチュエータであって、前記アクチュエータは、前記駆動部材を所定通路に沿って遠位に動かすように構成されている、アクチュエータと、
前記アクチュエータと選択的に係合可能なアクチュエータロックと、
前記第1ハンドル部分および前記第2ハンドル部分の一方に回転可能に連結されたラッチであって、前記ラッチは、前記ラッチが開放位置と閉鎖された位置との間で動かされると、前記第1ハンドル部分および前記第2ハンドル部分の他方に係合して、前記アンビルを前記ステープルカートリッジチャネルに対する適所に持ってくるように構成されており、前記ラッチは、前記ラッチが前記閉鎖された位置へ動かされると前記アクチュエータロックに係合するように、また、前記アクチュエータロックを前記アクチュエータから係合解除するように、構成されている、ラッチと、
を含む、外科用ステープラ。
(9) 実施態様8に記載の外科用ステープラにおいて、
前記アクチュエータロックを前記アクチュエータと係合するように付勢するよう構成された、ロックバネ、
をさらに含む、外科用ステープラ。
(10) 実施態様8に記載の外科用ステープラにおいて、
第1駆動スロットと、
第2駆動スロットと、
をさらに含み、
前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、
前記第1駆動スロットおよび前記第2駆動スロットの少なくとも一方は、前記所定通路を定めており、
前記アクチュエータロックは、前記アクチュエータロックが前記アクチュエータと係合させられているとき、前記アクチュエータが前記第1駆動スロットおよび前記第2駆動スロットのいずれへも動くことを防ぐように構成されている、外科用ステープラ。
(11) 実施態様8に記載の外科用ステープラにおいて、
第1駆動スロットと、
第2駆動スロットと、
をさらに含み、
前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、
前記第1駆動スロットおよび前記第2駆動スロットの少なくとも一方は、前記所定通路を定めており、
アクチュエータロックは、前記ラッチが前記開放位置にあるとき、前記アクチュエータを前記第1駆動スロットと前記第2駆動スロットとの中間の適所に保持するように構成されている、外科用ステープラ。
(12) 実施態様8に記載の外科用ステープラにおいて、
前記駆動部材は、切断部材およびステープルスレッドの少なくとも一方を含む、外科用ステープラ。
(13) 外科用ステープラにおいて、
ステープルカートリッジを受容するように構成されたステープルカートリッジチャネルを含む、第1ハンドル部分と、
アンビルを含む、第2ハンドル部分と、
駆動部材と、
前記駆動部材と作用可能に係合可能なアクチュエータであって、前記アクチュエータは、前記駆動部材を所定通路に沿って動かすように構成されている、アクチュエータと、
前記アクチュエータと係合するように付勢される、アクチュエータロックと、
前記第1ハンドル部分および前記第2ハンドル部分の一方に回転可能に連結された、ラッチであって、前記ラッチは、開放位置と閉鎖された位置との間で回転可能であり、前記ラッチは、前記ラッチが前記開放位置と前記閉鎖された位置との間で動かされると、前記第1ハンドル部分および前記第2ハンドル部分の他方に係合するよう、かつ前記アンビルを前記ステープルカートリッジに対して位置付けるように、構成されており、前記ラッチは、前記ラッチが前記開放位置と前記閉鎖された位置との間で動かされると、前記アクチュエータロックを前記アクチュエータから係合解除するように構成されている、ラッチと、
を含む、外科用ステープラ。
(14) 実施態様13に記載の外科用ステープラにおいて、
前記アクチュエータロックを前記アクチュエータに係合するように付勢するよう構成された、ロックバネ、
をさらに含む、外科用ステープラ。
(15) 実施態様13に記載の外科用ステープラにおいて、
第1駆動スロットと、
第2駆動スロットと、
をさらに含み、
前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、
前記第1駆動スロットおよび前記第2駆動スロットの少なくとも一方は、前記所定通路を定めており、
前記アクチュエータロックは、前記アクチュエータロックが前記アクチュエータと係合されているとき、前記アクチュエータが前記第1駆動スロットおよび前記第2駆動スロットのいずれへも動くことを防ぐように構成されている、外科用ステープラ。
(16) 実施態様13に記載の外科用ステープラにおいて、
第1駆動スロットと、
第2駆動スロットと、
をさらに含み、
前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、
前記第1駆動スロットおよび前記第2駆動スロットの少なくとも一方は、前記所定通路を定めており、
アクチュエータロックは、前記ラッチが前記開放位置にあるとき、前記アクチュエータを前記第1駆動スロットと前記第2駆動スロットとの中間の適所に保持するように構成されている、外科用ステープラ。
(17) 実施態様13に記載の外科用ステープラにおいて、
前記駆動部材は、切断部材およびステープルスレッドの少なくとも一方を含む、外科用ステープラ。
Claims (10)
- 外科用ステープラにおいて、
ステープルカートリッジを受容するように構成されたステープルカートリッジチャネルを含む、第1ハンドル部分と、
アンビルを含む、第2ハンドル部分と、
第1駆動スロットと、
第2駆動スロットであって、前記第1および第2駆動スロットの少なくとも一方は、所定通路を定める、第2駆動スロットと、
駆動部材と、
前記駆動部材と作用可能に係合されたアクチュエータであって、前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、前記アクチュエータは、前記駆動部材を前記所定通路に沿って動かすように構成されている、アクチュエータと、
前記アクチュエータと選択的に係合可能なアクチュエータロックと、
前記第1ハンドル部分および前記第2ハンドル部分の一方に回転可能に連結されたラッチであって、前記ラッチは、開放位置と閉鎖された位置との間で可動であり、前記ラッチは、前記第1ハンドル部分および前記第2ハンドル部分の他方に係合するよう、かつ前記アンビルを前記ステープルカートリッジチャネルに対する適所へ動かすように、構成されており、前記ラッチは、前記ラッチが前記閉鎖された位置へ動かされると、前記アクチュエータロックに係合して前記アクチュエータロックを前記アクチュエータから係合解除するように構成されている、ラッチと、
を含む、外科用ステープラ。 - 請求項1に記載の外科用ステープラにおいて、
前記アクチュエータは、前記第1駆動スロットと前記第2駆動スロットとを接続する中間駆動スロット内に位置付け可能である、外科用ステープラ。 - 請求項2に記載の外科用ステープラにおいて、
前記アクチュエータロックは、前記ラッチが前記開放位置にある場合、前記中間駆動スロット内に前記アクチュエータを保持するように構成されている、外科用ステープラ。 - 請求項2に記載の外科用ステープラにおいて、
前記アクチュエータは、前記アクチュエータが前記中間駆動スロット内部に位置付けられているとき、前記第1駆動スロットおよび前記第2駆動スロットの一方へ選択可能に回転させられるように構成されており、
前記アクチュエータロックは、前記アクチュエータロックが前記アクチュエータと係合させられているとき、前記アクチュエータが前記第1駆動スロットおよび前記第2駆動スロットのいずれかへ回転することを防ぐように構成されている、外科用ステープラ。 - 請求項1に記載の外科用ステープラにおいて、
アクチュエータロックは、前記ラッチが前記開放位置にあるとき、前記第1駆動スロットと前記第2駆動スロットとの中間の適所に前記アクチュエータを保持するように構成されている、外科用ステープラ。 - 請求項1に記載の外科用ステープラにおいて、
前記アクチュエータロックを前記アクチュエータと係合させるように付勢するよう構成されたロックバネ、
をさらに含む、外科用ステープラ。 - 請求項1に記載の外科用ステープラにおいて、
前記駆動部材は、切断部材およびステープルスレッドの少なくとも一方を含む、外科用ステープラ。 - 外科用ステープラにおいて、
第1ハンドル部分であって、
近位端、
遠位端、および、
ステープルカートリッジを受容するように構成されたステープルカートリッジチャネル、
を含む、第1ハンドル部分と、
第2ハンドル部分であって、
近位端、
遠位端、および、
アンビル、
を含む、第2ハンドル部分と、
駆動部材と、
前記駆動部材と作用可能に係合可能なアクチュエータであって、前記アクチュエータは、前記駆動部材を所定通路に沿って遠位に動かすように構成されている、アクチュエータと、
前記アクチュエータと選択的に係合可能なアクチュエータロックと、
前記第1ハンドル部分および前記第2ハンドル部分の一方に回転可能に連結されたラッチであって、前記ラッチは、前記ラッチが開放位置と閉鎖された位置との間で動かされると、前記第1ハンドル部分および前記第2ハンドル部分の他方に係合して、前記アンビルを前記ステープルカートリッジチャネルに対する適所に持ってくるように構成されており、前記ラッチは、前記ラッチが前記閉鎖された位置へ動かされると前記アクチュエータロックに係合するように、また、前記アクチュエータロックを前記アクチュエータから係合解除するように、構成されている、ラッチと、
を含む、外科用ステープラ。 - 請求項8に記載の外科用ステープラにおいて、
前記アクチュエータロックを前記アクチュエータと係合するように付勢するよう構成された、ロックバネ、
をさらに含む、外科用ステープラ。 - 請求項8に記載の外科用ステープラにおいて、
第1駆動スロットと、
第2駆動スロットと、
をさらに含み、
前記アクチュエータは、前記第1駆動スロットおよび前記第2駆動スロットへ選択的に可動であり、
前記第1駆動スロットおよび前記第2駆動スロットの少なくとも一方は、前記所定通路を定めており、
前記アクチュエータロックは、前記アクチュエータロックが前記アクチュエータと係合させられているとき、前記アクチュエータが前記第1駆動スロットおよび前記第2駆動スロットのいずれへも動くことを防ぐように構成されている、外科用ステープラ。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US12/234,113 US7832612B2 (en) | 2008-09-19 | 2008-09-19 | Lockout arrangement for a surgical stapler |
US12/234,113 | 2008-09-19 |
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JP2010069307A JP2010069307A (ja) | 2010-04-02 |
JP5384268B2 true JP5384268B2 (ja) | 2014-01-08 |
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JP2009216532A Active JP5384268B2 (ja) | 2008-09-19 | 2009-09-18 | 外科用ステープラ用ロックアウト構造 |
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JP (1) | JP5384268B2 (ja) |
BR (1) | BRPI0904975B1 (ja) |
RU (1) | RU2508913C2 (ja) |
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-
2009
- 2009-09-17 BR BRPI0904975A patent/BRPI0904975B1/pt active IP Right Grant
- 2009-09-18 JP JP2009216532A patent/JP5384268B2/ja active Active
- 2009-09-18 RU RU2009134964/14A patent/RU2508913C2/ru not_active IP Right Cessation
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JP2010069307A (ja) | 2010-04-02 |
BRPI0904975A2 (pt) | 2011-03-15 |
RU2009134964A (ru) | 2011-03-27 |
BRPI0904975B1 (pt) | 2019-09-10 |
RU2508913C2 (ru) | 2014-03-10 |
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